Organization Active NPI

Prosthetic & Orthotic Associates of Hawaii

  • Prosthetic/Orthotic Supplier
  • Honolulu, HI
National Provider Identifier
1780247452
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
PROSTHETIC & ORTHOTIC ASSOCIATES OF HAWAII
Practice address
1314 S King St Ste 1564
Honolulu, HI 96814-2072
Phone
(808) 597-1773
Fax
(808) 597-1772
NPI assigned
Apr 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Stephnaie Anne Kingston
Title
Administrator, Registered Agent
Phone
(407) 245-7770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1314 S King St Ste 1564
Honolulu, HI 96814-2072

Mailing address

1314 S King St Ste 1564
Honolulu, HI 96814-2072
Phone (808) 375-4790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210202002920 HI DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 0749694701 Practice locations: Honolulu, HI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Poa Hawaii1314 S King St, Honolulu, HI 96814-2072(808) 597-1773 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses Does not accept assignmentParticipating since Jan 1, 2021

National Provider Directory

National Provider Directory

Locations

1314 S King St
Ste 1564
Honolulu, HI 96814
Phone (808) 591-9339

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1780247452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 1564",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142072",
            "telephone_number": "808-375-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 1564",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142072",
            "telephone_number": "808-597-1773",
            "fax_number": "808-597-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHETIC & ORTHOTIC ASSOCIATES OF HAWAII",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "KINGSTON",
        "authorized_official_first_name": "STEPHNAIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR, REGISTERED AGENT",
        "authorized_official_telephone_number": "407-245-7770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.